Individual provider Active NPI

Patricia Moul Hewson, C.R.N.P.

  • Pediatric Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1871550699
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
VP000992D Issued in PA
Practice address
1900 N 9TH St
Suite 104
Philadelphia, PA 19122-1909
Phone
(215) 765-6690
Fax
(215) 765-6694
NPI assigned
Apr 26, 2006
Last updated
Jul 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X VP000992D PA Primary

Addresses

Primary practice location

1900 N 9TH St
Suite 104
Philadelphia, PA 19122-1909

Mailing address

1500 Market Street
LM 500 West Tower
Philadelphia, PA 19120-2100
Phone (215) 985-2595

Other identifiers 5

IdentifierTypeStateIssuer
1590248OtherPABLUE CROSS
0016148630001MedicaidPA
2268264000OtherPAKEYSTONE HEALTH PLAN EAST
30027023OtherPAKEYSTONE MERCY HEALTH PLAN
1488053OtherPAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080801000142 PA Practitioner - Nurse Practitioner 6901970425 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Management Corporation CurrentSince Oct 1, 2007 Accepting new patients
Public Health Management Corporation CurrentSince Oct 1, 2007 Accepting new patients
Public Health Management Corporation Current Accepting new patients

Locations

125 S 9th St
Philadelphia, PA 19107
Phone (215) 592-4500

1500 Market St
Ste LM500
Philadelphia, PA 19102
Phone (215) 731-6150

1900 N 9th St
Ste 104
Philadelphia, PA 19122
Phone (215) 765-6690

5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440

Interoperability endpoints

  • Direct secure messaging: patriciahewson@nncc.allscriptsdirect.net
  • Direct secure messaging: phewson579439@direct.ochin.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1871550699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MARKET STREET",
            "address_2": "LM 500 WEST TOWER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202100",
            "telephone_number": "215-985-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N 9TH ST",
            "address_2": "SUITE 104",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191221909",
            "telephone_number": "215-765-6690",
            "fax_number": "215-765-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWSON",
        "first_name": "PATRICIA",
        "middle_name": "MOUL",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "VP000992D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1590248",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016148630001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "2268264000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HEALTH PLAN",
            "identifier": "30027023",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1488053",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.